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This multi-contributed text, co-ordinated by one of the leading authorities in the field, is a unique resource to cover in depth the management of the important issue of Nosocomial Pneumonia in respiratory medicine and critical care. This disease presents the clinician with a variety of challenges, in both diagnosis and management, all of which represent a significant concern for the welfare of patients whose ability to combat infection is frequently already compromised.

Nosocomial Pneumonia: Strategies for Management is dedicated specifically to this most common hospital acquired respiratory infection and reviews important new advances in therapeutics, including drug resistance. It is an essential resource for all postgraduates and specialist physicians in pulmonology and infectious diseases.

This book is unique in approaching multiple organ dysfunction syndrome (MODS) from the perspective of its pathophysiological mechanism, and addressing aspects that are overlooked in most of the available literature. Eminent experts in the field from Europe and beyond offer new insights into risk stratification, severity assessment, and management of critically ill patients with sepsis. The principal focus is on recently developed concepts in infection management and in antibiotic use, bearing in mind that in these patients the pharmacokinetics of antibiotics are altered, affecting renal clearance and requiring dosage adjustments. The significance of the PIRO (predisposing factors, infection, response, organ dysfunction) model in the development of effective treatment strategies is emphasized. This book will be of interest and value to all who are involved in the treatment of, or research into, sepsis and MODS.

Ventilator-associated pneumonia (VAP) continues to be one of the greatest challenges to critical care practitioners and one of the greatest threats to the survival of our patients. The choice of this topic for an issue of the PERSPECTIVES IN CRITICAL CARE INFECTIOUS DISEASES Series is therefore quite appropriate. Despite its importance, many areas of the management of ventilator-associated pneumonia remain controversial. We therefore are pleased to include contributions from experts and investigators offering different perspectives on some of these controversial areas.

Severe Infections Caused by Pseudomonas aeruginosa emphasizes controversies worldwide in the diagnosis, treatment, prevention and pathogenesis of pseudomonas aeruginosa infections. By including both chapters written by European authors and chapters written by North American experts, the reader is ensured of receiving a broad spectrum of opinions on controversial topics. Special attention is paid to such topics as the diagnosis of hospital-acquired pneumonia caused by p. aeruginosa, scheduled antibiotic therapy for patients with cystic fibrosis, empiric therapy for febrile neurotropenic patients, combination vs. single agent antibiotic therapy for severely ill patients, and alternatives to conventional antibiotic therapies.

This excellent overview of our current understanding of pseudomonas aeruginosa pathogenesis will prove useful to clinicians and microbiologists around the globe.

Severe Community Acquired Pneumonia is a book in which chapters are authored and the same topics discussed by North American and European experts. This approach provides a unique opportunity to view the different perspectives and points of view on this subject. Severe CAP is a common clinical problem encountered in the ICU setting. This book reviews topics concerning the pathogenesis, diagnosis and management of SCAP. The discussions on the role of alcohol in severe CAP and adjunctive therapies are important topics that further our understanding of this severe respiratory infection.

Sepsis is a very important public health problem. It is widely acknowledged that the severe inflammatory response syndrome/severe sepsis paradigm fails to stratify sepsis patients adequately. This book reviews in detail how sepsis should be managed on the basis of a novel approach to staging. The PIRO (predisposing factors, infection, response, organ dysfunction) model was first proposed at the start of the decade on a theoretical basis and has now been translated into a practical approach for use at the bedside. It is loosely based on the TNM staging system for cancers, with points being allocated to each of the four aforementioned key characteristics of the septic process. The proposed PIRO framework facilitates evaluation of factors that are important in the pathogenesis of severe sepsis and in the development of treatment strategies. This book clearly explains the advantages of the PIRO approach in different settings and will be of value to all practitioners concerned with the management of sepsis.

Infections and their complications are a very Additionally, they have a responsibility to ensure important clinical area in the intensive care that nosocomial infections are prevented and unit setting. Community-acquired infections that antimicrobial resistance is minimized by and nosocomial infections both contribute to prudently employing antibiotic agents. It is our the high level of disease acquity common hope that this textbook will provide clinicians among critically ill patients. The importance practicing in the intensive care unit a reference of accurately diagnosing nosocomial infections to help guide their care of infected patients. To and providing appropriate therapies, to include that end we have brought together a group of antimicrobial therapy effective against the international authors to address important topics identified agents of infection, have been shown related to infectious diseases for the critical care to be important determinants of patient practitioner. outcome. Critical care practitioners are in a Jordi Rello, M. D. , Ph. D. unique position in dealing with infectious Jordi Valles, M. D. , Ph. D. diseases. They are often the initial providers of Marin H. Kolle!, M. D. care to seriously ill patients with infections. SECTION 1: GENERAL ASPECTS ]. Rello 1.

Infections and their complications are a very important clinical area in the intensive care unit setting. Community-acquired infections and nosocomial infections both contribute to the high level of disease acquisition common among critically ill patients. The accurate diagnosis of nosocomial infections and the provision of appropriate therapies, including antimicrobial therapy effective against the identified agents of infection, have been shown to be important determinants of patient outcome.

Critical care practitioners are in a unique position in dealing with infectious diseases. They are often the initial providers of care to seriously ill patients with infections. Additionally, they have a responsibility to ensure that nosocomial infections are prevented and that antimicrobial resistance is minimized by prudently employing antibiotic agents. It is the editors' hope that this book will provide clinicians practicing in the intensive care unit with a reference to help guide their care of infected patients. To that end they have brought together a group of international authors to address important topics related to infectious diseases for the critical care practitioner.

A nursing diagnosis is defined as a clinical judgment about individual, family or community responses to actual or potential health problems or life processes which provide the basis for selection of nursing interventions to achieve outcomes for which the nurse has accountability (NANDA-I, 2009). Accurate and valid nursing diagnoses guide the selection of interventions that are likely to produce the desired treatment effects and determine nurse-sensitive outcomes.

Nursing diagnoses are seen as key to the future of evidence-based, professionally-led nursing care – and to more effectively meeting the need of patients. In an era of increasing electronic patient health records, standardized nursing terminologies such as NANDA-I, NIC and NOC provide a means of collecting nursing data that are systematically analysed within and across healthcare organizations and provide essential data for cost/benefit analysis and clinical audit.

Nursing Diagnoses: Definitions and Classification is the definitive guide to nursing diagnoses, as reviewed and approved by NANDA-I. Each nursing diagnosis undergoes a rigorous assessment process by NANDA-I's Diagnosis Development Committee, with stringent criteria used to indicate the strength of the underlying level of evidence.

Each diagnosis comprises a label or name for the diagnosis, a definition, defining characteristics, risk factors and/or related factors. Many diagnoses are further qualified by terms such as risk for, effective, ineffective, impaired, imbalanced, self-care deficit, readiness for, disturbed, decreased, etc.

2012-2014 edition arranged by diagnostic concepts Core references and level of evidence for each diagnosis New chapters on appropriate use of nursing diagnoses in clinical practice, education, administration and electronic health record 16 new diagnoses 11 revised diagnoses Aimed at students, educators, clinicians, nurse administrators and informaticians Companion website available, including a video on assessment, clinical reasoning and diagnosis

As a registered nurse for the last 28 years, my primary clinical expertise has been working in the pre-hospital environment as a flight nurse and a paramedic, as well as continuing to work in a variety of clinical areas which include the emergency department, pediatrics and endoscopy. My extensive clinical background has also given me the opportunity to work as a legal nurse consultant with one of the largest law firms in Arizona. As an EMS educator and program director of paramedic training programs for the last 20 years and most recently as the National Clinical Educator for one of the largest air medical transport companies, I truly enjoy teaching in a simple manner as to assure that students do have a strong basic understanding in making critical care decisions and that they will be providing the highest quality of patient care beginning from the least to the most invasive management of care for the patients they are transporting. My goal as a professional and as an EMS educator has always been and will continue to encourage students to have the desire to learn and grow in their profession, as well as contribute to EMS in a way that inspires positive change.

"Tell me and Ill forget; Show me and I may remember; Involve me and Ill understand

From one of the country's foremost doctors comes a ground-breaking book about diagnosing, treating and healing Lyme, and peeling away the layers that lead to chronic disease.

You may not know that you have Lyme. It can mimic every disease process including Chronic Fatigue Syndrome, Fibromyalgia, autoimmune conditions like MS, psychiatric conditions like depression and anxiety, and cause significant memory and concentration problems, mimicking early dementia. It is called the "Great Imitator," and inaccurate testing-combined with a fierce, ongoing debate that questions chronic infection-makes it difficult for sufferers to find effective care.

When Dr. Richard Horowitz moved to the Hudson Valley over two decades ago to start his own medical practice, he had no idea that he was jumping into a hotbed of Lyme disease. He would soon realize that many of the chronic disease diagnoses people were receiving were also the result of Lyme-and he would discover how once-treatable infections, in the absence of timely intervention, could cause disabling conditions. In a field where the number of cases is growing exponentially around the world and answers remain elusive, Dr. Horowitz has treated over 12,000 patients and made extraordinary progress. His plan represents a crucial paradigm shift, without which the suffering will continue.

In this book, Dr. Horowitz:

- Breaks new ground with a 16 Point Differential Diagnostic Map, the basis for his revolutionary Lyme treatment plan, and an overarching approach to treating all chronic illness.

- Introduces MSIDS, or Multiple Systemic Infectious Disease Syndrome, a new lens on chronic illness that may prove to be an important missing link.

- Covers in detail Lyme's leading symptoms and co-infections, including immune dysfunction, sleep disorders, chronic pain and neurodegenerative disorders - providing a unique functional and integrative health care model, based on the most up-to-date scientific research, for physicians and health care providers to effectively treat Lyme and other chronic illnesses.

Cutting through the frustration, misinformation and endless questions, Dr. Horowitz's enlightening story of medical discovery, science and politics is an all-in-one source for patients of chronic illness to identify their own symptoms and work with their doctors for the best possible treatment outcome.

A fundamental and respected resource book in critical care, The ICU Book, Fourth Edition, continues to provide the current and practical guidance that have made it the best-selling text in critical care. The text addresses both the medical and surgical aspects of critical care, delivering the guidance needed to ensure sound, safe, and effective treatment for patients in intensive care?regardless of the specialty focus of the unit.

This version does not include the updates and other functionality included in the tablet version that accompanies the print edition.

The team of nurses that Tilda Shalof found herself working with in the intensive care unit (ICU) of a big-city hospital was known as “Laura’s Line.” They were a bit wild: smart, funny, disrespectful of authority, but also caring and incredibly committed to their jobs. Laura set the tone with her quick remarks. Frances, from Newfoundland, was famous for her improvised recipes. Justine, the union rep, wore t-shirts emblazoned with defiant slogans, like “Nurses Care But It’s Not in the Budget.” Shalof was the one who had been to university. The others accused her of being “sooo sensitive.”

They depended upon one another. Working in the ICU was both emotionally grueling and physically exhausting. Many patients, quite simply, were dying, and the staff strove mightily to prolong their lives. With their skill, dedication, and the resources of modern science, they sometimes were almost too successful. Doctors and nurses alike wondered if what they did for terminally-ill patients was not, in some cases, too extreme. A number of patients were admitted when it was too late even for heroic measures. A boy struck down by a cerebral aneurysm in the middle of a little-league hockey game. A woman rescued – too late – from a burning house. It all took its toll on the staff.

And yet, on good days, they thrived on what they did. Shalof describes a colleague who is managing a “crashing” patient: “I looked at her. Nicky was flushed with excitement. She was doing five different things at the same time, planning ahead for another five. She was totally focused, in her element, in control, completely at home with the chaos. There was a huge smile on her face. Nurses like to fix things. If they can.”

Shalof, a veteran ICU nurse, reveals what it is really like to work behind the closed hospital curtains. The drama, the sardonic humour, the grinding workload, the cheerful camaraderie, the big issues and the small, all are brought vividly to life in this remarkable book.

REA’s EMT Crash CourseEverything you need for the exam – in a fast review format!EMT Crash Course is perfect for any prospective Emergency Medical Technician who wants a quick refresher before taking the NREMT Certification Exam. Targeted, Focused Review – Study Only What You Need to KnowWritten by an EMS Program Director and NREMT paramedic with first-hand experience and classroom instruction, our targeted review chapters in outline style cover all the official test categories found on the EMT exam: airway and breathing, cardiology, medical, obstetrics and pediatrics, and trauma. The author explains the structure of the exam and shows you how to answer questions quickly and correctly.Expert Test-taking StrategiesOur author explains the structure of the NREMT Certification Exam, so you know what to expect on test day. He also shares question-level strategies and shows you the best way to answer questions. By following our expert tips and advice, you can score higher on the exam. Must-know Key TermsKnowing the right medical terminology can make a real difference in your test score. That’s why we give you a glossary of more than 400 EMT terms you need to know before you take your exam.Take REA’s Online Practice ExamAfter studying, go online and test what you’ve learned. Our practice exam features timed testing, diagnostic feedback, detailed answers, and automatic scoring. The exam is balanced to include every topic and type of question found on the actual EMT exam, so you know you’re studying the smart way.No matter how or when you prepare for the EMT exam, REA’s EMT Crash Course will show you how to study efficiently and strategically, so you can get a great score.

Nine months of tying tourniquets and pushing new medications, of IVs, chest compressions, and defibrillator shocks—that was Kevin Grange’s initiation into emergency medicine when, at age thirty-six, he enrolled in the “Harvard of paramedic schools”: UCLA’s Daniel Freeman Paramedic Program, long considered one of the best and most intense paramedic training programs in the world.

Few jobs can match the stress, trauma, and drama that a paramedic calls a typical day at the office, and few educational settings can match the pressure and competitiveness of paramedic school. Blending months of classroom instruction with ER rotations and a grueling field internship with the Los Angeles Fire Department, UCLA’s paramedic program is like a mix of boot camp and med school. It would turn out to be the hardest thing Grange had ever done—but also the most transformational and inspiring.

An in-depth look at the trials and tragedies that paramedic students experience daily, Lights and Sirens is ultimately about the best part of humanity—people working together to help save a human life.

"If you're experiencing discomfort, fatigue, or other symptoms that won't go away no matter what you do or how many doctors you see, chances are you're one of the millions unknowingly suffering from a systemic fungal/yeast infection, "the hidden invader." The result of an imbalance starting in your internal ecosystem, this can be a key factor in headaches, joint and muscle pain, depression, cancer, food allergies, digestive problems, autism, and other immune-related disorders. The Body Ecology Diet reveals how to restore and maintain the "inner ecology" your body needs to function properly, and eliminate or control the symptoms that rob you of the joy of living. Tens of thousands of people have already benefited from the Body Ecology way of life-Donna Gates shows you, step-by-step, how to eat your way to better health and well-being . . . deliciously, easily, and inexpensively!" -- from publisher's website.

Nursing Diagnoses: Definitions and Classification is the definitive guide to nursing diagnoses, as reviewed and approved by NANDA-I. The 2015–2017 edition of the classic and internationally recognised text has been rigorously updated and revised, and now provides more linguistically congruent diagnoses as a result of the Diagnostic Development Committee’s attentiveness to understanding the translation of the diagnostic label, definition, defining characteristics, related factors, and risk factors. Each of the 235 diagnoses presented are supported by definitions as well as defining characteristics and related factors, or risk factors. Each new and revised diagnosis is based on the latest global evidence, and approved by expert nurse diagnosticians, researchers, and educators.

New to this edition:

26 brand new nursing diagnoses and 13 revised diagnoses Updates, changes, and revision to the vast majority of the nursing diagnosis definitions, in particular the Health Promotion and Risk Diagnoses A standardization of diagnostic indicator terms (defining characteristics, related factors, and risk factors) to further aid clarity for readers and clinicians All introductory chapters are written at an undergraduate nursing level, and provide critical information needed for nurses to understand assessment, its link to diagnosis, and the purpose and use of taxonomic structure for the nurse at the bedside A new chapter, focusing on Frequently Asked Questions, representing the most common questions received through the NANDA-I website, and at global conferences Five nursing diagnoses have been re-slotted within the NANDA-I taxonomy, following a review of the current taxonomic structure Coding of all diagnostic indicator terms is now available for those using electronic versions of the terminology Companion website featuring references from the book, video presentations, teaching tips, and links to taxonomy history and diagnosis submission/review process description www.wiley.com/go/nursingdiagnoses

With all the attention heaped upon the most deadly sexually transmitted infection of all, HIV, other non-fatal forms of infection have been somewhat neglected, and even overlooked in sexual education. However, incidences of STIs such as chlamydia and gonorrhoea have been dramatically and silently rising in many parts of the world in recent years - though receiving far less attention. It is now recognized that this is a major public health issue, affecting thousands of people, irrespective of background, education or social class. In Sexually Transmitted Infections: The Facts, David Barlow, for thirty years a consultant physician at a large London teaching hospital, describes, in a readable, sensible and light style, the common and rare conditions which are seen in clinic. Case histories drawn from real patients illustrate many of the pitfalls and problems that can arise from misunderstanding how diseases such as herpes or genital warts are transmitted. An important and novel section explains how and why the seemingly reliable tests from a hospital laboratory can be misleading and, in many cases, actually wrong. This new edition has been brought up-to-date with coverage of the new HPV vaccine for cervical cancer, recent work on the aetiology of bacterial vaginosis, evidence on the treatment and management of genital herpes simplex, and a totally revived section on HIV and AIDS. Using the early section on symptoms, the reader is rapidly pointed to the relevant section of the book for explanations and reassurance. Providing essential information on all the main forms of sexually transmitted infections, the book delivers essential, accessible, pragmatic, information that should be read by all adults.

The third edition of The Labor Progress Handbook builds on the success of first two editions and remains an unparalleled resource on simple, non-invasive interventions to prevent or treat difficult labor. Features new to this edition include two new chapters on third and fourth stage labor management and low-technology interventions, a complete analysis of directed versus spontaneous pushing, and additional information on massage techniques.

From the experts at Johns Hopkins University who bring you the bestselling Harriet Lane Handbook, the Harriet Lane Handbook of Pediatric Antimicrobial Therapy delivers quick, dependable answers to help you effectively treat a broad spectrum of pediatric infectious diseases. This highly regarded medical reference book is your pocket-sized source for all of the evidence-based recommendations you need to provide the best possible care to your young patients. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability.Get all of the information you need to prescribe the correct drug and the appropriate dose through a detailed drug formulary, expanded from the popular Harriet Lane Handbook.Better manage persistent, hard-to-fight pediatric infections with a section on adverse effects and drug resistance.Make the best clinical decisions with up-to-date practice guidelines from the AAP, CDC, and other authoritative pediatric and infectious disease sources.Stay on top of the most effective treatments with leading-edge coverage of antiretroviral drugs for HIV and hepatitis; antimicrobial pharmacokinetic/pharmacodynamics (PK/PD) information; the latest Vancomycin therapeutic drug-monitoring recommendations; antimicrobial desensitization; pediatric developmental effects of antimicrobials approved in adults but not children; and much more.Depend on the professional wisdom of an expert author team, combined with the front-line input of current pediatric infectious disease fellows.

Quickly expand your knowledge base and master your residency with Faust's Anesthesiology Review, the world’s best-selling review book in anesthesiology. Combining comprehensive coverage with an easy-to-use format, this newly updated medical reference book is designed to efficiently equip you with the latest advances, procedures, guidelines, and protocols. It’s the perfect refresher on every major aspect of anesthesia.Take advantage of concise coverage of a broad variety of timely topics in anesthesia.Focus your study time on the most important topics, including anesthetic management for cardiopulmonary bypass, off-pump coronary bypass, and automatic internal cardiac defibrillator procedures; arrhythmias; anesthesia for magnetic resonance imaging; occupational transmission of blood-borne pathogens; preoperative evaluation of the patient with cardiac disease; and much more. Search the entire contents online at Expert Consult.com.

It is now thirty years since the discovery of AIDS but its origins continue to puzzle doctors and scientists. Inspired by his own experiences working as an infectious diseases physician in Africa, Jacques Pepin looks back to the early twentieth-century events in Africa that triggered the emergence of HIV/AIDS and traces its subsequent development into the most dramatic and destructive epidemic of modern times. He shows how the disease was first transmitted from chimpanzees to man and then how urbanization, prostitution, and large-scale colonial medical campaigns intended to eradicate tropical diseases combined to disastrous effect to fuel the spread of the virus from its origins in Léopoldville to the rest of Africa, the Caribbean and ultimately worldwide. This is an essential new perspective on HIV/AIDS and on the lessons that must be learnt if we are to avoid provoking another pandemic in the future.

What causes mental illness? We've long blamed stress, trauma, and brain-chemistry imbalances. But a new theory is quietly achieving critical mass. In INFECTIOUS MADNESS, award-winning science writer Harriet Washington reveals that schizophrenia, obsessive-compulsive disorder, Alzheimer's, and anorexia also may be caused by bacteria, parasites, or viruses. Weaving together cutting-edge research and case studies, INFECTIOUS MADNESS shows how strep throat can trigger rapid-onset OCD in a formerly healthy teen and how contact with cat litter elevates the risk of schizophrenia. Featuring a new afterword by the author, and rich in science, medical mysteries, cultural nuance, and evidence-based recommendations, INFECTIOUS MADNESS pulls back the curtain on a new paradigm with profound implications for us all.

The mind and the body, when working in harmony, is a fantastic system capable of extraordinary things.

With an applied, interactive, and highly visual approach, Fundamentals of Anatomy and Physiology for Student Nurses provides students with an exciting and straightforward understanding of anatomy and physiology, enabling them to deliver high quality care in any setting. This book covers the structure and functions of the human body, with clinical applications throughout.

Key features:

A clear, straightforward book on anatomy and physiology for all students in nursing and allied health. Fully interactive, with an activity section at the end of each chapter, featuring multiple choice questions, diagram labelling, test your learning questions, crosswords, and 'find out more'. Generous, full colour illustrations throughout Clinical considerations and scenarios throughout showing how the material can be applied to daily practice A companion website where you'll find further exercises, illustrations, and interactive MCQs www.wiley.com/go/peate

Praise for this book:Chapters are clearly written and...[the] black-and-white illustrations and reproductions of cerebral radiographs are of remarkably good quality...an excellent multidisciplinary overview.--Doody's ReviewFrom important aspects of the physical examination to imaging studies to treatment options and dosage guidelines, Decision Making in Neurocritical Care provides a solid introduction to the evidence-based management of patients in the neurological intensive care unit. Succinct text in a highly accessible bullet-point format details the essentials of history-taking, physical examination, differential diagnosis, diagnostic evaluation, and treatments for a range of neurological problems in the critical care setting.Special features:Brief vignettes of typical cases emphasize key questions for the physician to consider and urgent orders to be givenCoverage of the basics of neurocritical care, including techniques of intubation, ventilator management, sedation, and multimodality monitoringPearls and pitfalls highlight key points in patient managementConvenient medication tables, including dosages, adverse effects, and contraindicationsConsistent presentation in each chapter enhances ease of useIdeal for neurologists, neurosurgeons and critical care physicians at all levels, this book is invaluable for optimizing patient care. It is also an excellent choice for board review preparation in these specialties.

Critical Care Nursing: Learning from Practice takes a unique approach to critical care. Based around case scenarios that have the patient as the central focus, each chapter is constructed around an example of a critically ill patient with specific care needs. The chapters then go on to critically explore the knowledge and skills required to deliver expert care. This book looks at a range of critical care scenarios, including: The patient with acute lung injury The patient with fever The patient with an acute kidney injury The patient with long term needs The patient with increased intra-abdominal pressure The Patient following cardiac surgery

In The Polio Years in Texas, Heather Green Wooten draws on extensive archival research as well as interviews conducted over a five-year period with Texas polio survivors and their families. This is a detailed and intensely human account of not only the epidemics that swept Texas during the polio years, but also of the continuing aftermath of the disease for those who are still living with its effects.

When a waiting world learned on April 12, 1955, that Jonas Salk had successfully created a vaccine to prevent poliomyelitis, he became a hero overnight. Born in a New York tenement, humble in manner, Salk had all the makings of a twentieth-century icon--a knight in a white coat. In the wake of his achievement, he received a staggering number of awards and honors; for years his name ranked with Gandhi and Churchill on lists of the most revered people. And yet the one group whose adulation he craved--the scientific community--remained ominously silent. "The worst tragedy that could have befallen me was my success," Salk later said. "I knew right away that I was through--cast out." In the first complete biography of Jonas Salk, Charlotte DeCroes Jacobs unravels Salk's story to reveal an unconventional scientist and a misunderstood and vulnerable man. Despite his incredible success in developing the polio vaccine, Salk was ostracized by his fellow scientists, who accused him of failing to give proper credit to other researchers and scorned his taste for media attention. Even before success catapulted him into the limelight, Salk was an inscrutable man disliked by many of his peers. Driven by an intense desire to aid mankind, he was initially oblivious and eventually resigned to the personal cost--as well as the costs suffered by his family and friends. And yet Salk remained, in the eyes of the public, an adored hero. Based on hundreds of personal interviews and unprecedented access to Salk's sealed archives, Jacobs' biography offers the most complete picture of this complicated figure. Salk's story has never been fully told; until now, his role in preventing polio has overshadowed his part in co-developing the first influenza vaccine, his effort to meld the sciences and humanities in the magnificent Salk Institute, and his pioneering work on AIDS. A vivid and intimate portrait, this will become the standard work on the remarkable life of Jonas Salk.

Ideal for cardiologists who need to keep abreast of rapidly changing scientific foundations, clinical research results, and evidence-based medicine, Braunwald’s Heart Disease is your indispensable source for definitive, state-of-the-art answers on every aspect of contemporary cardiology, helping you apply the most recent knowledge in personalized medicine, imaging techniques, pharmacology, interventional cardiology, electrophysiology, and much more! Practice with confidence and overcome your toughest challenges with advice from the top minds in cardiology today, who synthesize the entire state of current knowledge and summarize all of the most recent ACC/AHA practice guidelines.Locate the answers you need fast thanks to a user-friendly, full-color design with more than 1,200 color illustrations. Learn from leading international experts, including 53 new authors. Explore brand-new chapters, such as Principles of Cardiovascular Genetics and Biomarkers, Proteomics, Metabolomics, and Personalized Medicine.Access new and updated guidelines covering Diseases of the Aorta, Peripheral Artery Diseases, Diabetes and the Cardiovascular System, Heart Failure, and Valvular Heart Disease.Stay abreast of the latest diagnostic and imaging techniques and modalities, such as three-dimensional echocardiography, speckle tracking, tissue Doppler, computed tomography, and cardiac magnetic resonance imaging.Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability.

Every year, millions of people are exposed to a sexually transmitted disease. And many people who are sexually active often worry about being infected. In her comprehensive guide to STDs, Dr. Lisa Marr tells readers everything they need to know about avoiding, preventing, and treating these diseases.

Complete and up-to-date, this book describes safer sex practices, testing protocols, and symptoms, and details commonly known treatments as well as significant recent medical advances—including new testing for the herpes virus, the vaccine against the human papilloma virus (HPV), and new discoveries about the effectiveness of spermicides and condoms. For each disease, Dr. Marr offers the latest Sexually Transmitted Disease Treatment Guidelines from the Centers for Disease Control and Prevention.

Forthright, compassionate, and practical, this guide is a trusted source of advice for anyone who is sexually active.

The Oxford Handbook of Tropical Medicine, fourth edition is the definitive resource for medical problems in tropical regions, and in low-resource settings. Comprehensive in scope, and concise in style, this portable guide ensures that you always have the vital information you need at your fingertips. Fully revised and updated for its fourth edition, it includes brand new chapters on humanitarian crises, poisoning and envenoming, nosocomial infections, and antibiotic resistance. The paediatric illness sections have been expanded, and website links have been fully updated and extended. With the clear, easy-reference style of the trusted Oxford Handbook format, written and reviewed by an international team of clinical experts, this is a truly global handbook and an essential resource. Make sure you never leave home without it!

Essence and emblem of life--feared, revered, mythologized, and used in magic and medicine from earliest times--human blood is now the center of a huge, secretive, and often dangerous worldwide commerce. It is a commerce whose impact upon humanity rivals that of any other business--millions of lives have been saved by blood and its various derivatives, and tens of thousands of lives have been lost. Douglas Starr tells how this came to be, in a sweeping history that ranges through the centuries.

With the dawn of science, blood came to be seen as a component of human anatomy, capable of being isolated, studied, used. Starr describes the first documented transfusion: In the seventeenth century, one of Louis XIV's court physicians transfers the blood of a calf into a madman to "cure" him. At the turn of the twentieth century a young researcher in Vienna identifies the basic blood groups, taking the first step toward successful transfusion. Then a New York doctor finds a way to stop blood from clotting, thereby making all transfusion possible.

In the 1930s, a Russian physician, in grisly improvisation, successfully uses cadaver blood to help living patients--and realizes that blood can be stored. The first blood bank is soon operating in Chicago.

During World War II, researchers, driven by battlefield needs, break down blood into usable components that are more easily stored and transported. This "fractionation" process--accomplished by a Harvard team--produces a host of pharmaceuticals, setting the stage for the global marketplace to come. Plasma, precisely because it can be made into long-lasting drugs, is shipped and traded for profit; today it is a $5 billion business.

The author recounts the tragic spread of AIDS through the distribution of contaminated blood products, and describes why and how related scandals have erupted around the world. Finally, he looks at the latest attempts to make artificial blood.

Douglas Starr has written a groundbreaking book that tackles a subject of universal and urgent importance and explores the perils and promises that lie ahead.

Why write a book on the management of critically ill patients? Over the past few decades we have seen an enormous growth in the number of intensive care units (ICU) across the world. Indeed, it is estimated that a large proportion of health care expenses are devoted to patients in these specialized units. Medical students, r- idents, fellows, attending physicians, critical care nurses, pharmacists, respiratory therapists, and other health-care providers (irrespective of their ultimate ?eld of pr- tice) will spend several months or years of their professional lives taking care of critically ill or severely injured patients. These clinicians must have special tra- ing, experience, and competence in managing complex problems in their patients. Moreover, these clinicians must interpret data obtained by many kinds of monitoring devices, and they must integrate this information with their knowledge of the pat- physiology of disease. Even more important is the fact that anyone working in an ICU or with a critically ill patient must approach patients with a multidisciplinary team. The phrase there is no I in TEAM comes to mind.

How do women living with genital herpes and/or HPV (human papilloma virus) infections see themselves as sexual beings, and what choices do they make about sexual health issues? Adina Nack, a medical sociologist who specializes in sexual health and social psychology, conducted in-depth interviews with 43 women about their identities and sexuality in regards to chronic illness. The result is a fascinating book about an issue that affects over 15 million Americans, but is all too little discussed.

Damaged Goods adds to our knowledge of how women are affected by living with chronic STDs and reveals the stages of their sexual- self transformation. From the anxiety of being diagnosed with an STD to issues of blame and shame, Nack-herself diagnosed with a cervical HPV infection-shows why these women feeling that they are "damaged goods," question future relationships, marriage, and their ability to have healthy children.

The groundbreaking, award-winning investigation into Lyme disease—the science, history, medical politics, and patient experience—now with a brand new chapter.

When Pamela Weintraub, a science journalist, learned that her oldest son tested positive for Lyme disease, she thought she had found an answer to the symptoms that had been plaguing her family for years—but her nightmare had just begun. Almost everything about Lyme disease turned out to be deeply controversial, from the microbe causing the infection, to the length and type of treatment and the kind of practitioner needed.

On one side of the fight, the scientists who first studied Lyme describe a disease transmitted by a deer tick that is hard to catch but easy to cure no matter how advanced the case. On the other side, rebel doctors insist that Lyme and a soup of "co-infections" cause a complicated spectrum of illness often dramatically different – and far more difficult to treat – than the original researchers claim. Instead of just swollen knees and a rash, patients can experience exhaustion, disabling pain, and a "Lyme fog" that leaves them dazed and confused. As patients struggle for answers, once-treatable infections become chronic. In this nuanced picture of the intense controversy and crippling uncertainty surrounding Lyme disease, Pamela Weintraub sheds light on one of the angriest medical disputes raging today. The most comprehensive book ever written about the past, present and future of Lyme disease, Cure Unknown exposes the ticking clock of a raging epidemic and the vulnerability we all share.

Mims Microbiology makes it easy for you to learn the microbiology and basic immunology concepts you need to know for your courses and USMLE. Using a clinically relevant, systems-based approach, this popular medical textbook accessibly explains the microbiology of the agents that cause diseases and the diseases that affect individual organ systems. With lavish illustrations and straightforward, accessible explanations, Mims Microbiology makes this complex subject simple to understand and remember.Learn about infections in the context of major body systems and understand why these are environments in which microbes can establish themselves, flourish, and give rise to pathologic changes. This systems-based approach to microbiology employs integrated and case-based teaching that places the "bug parade" into a clinical context.

with the help of chapter introductions and "Lessons in Microbiology" text boxes that highlight the clinical relevance of the material, offer easy access to key concepts, and provide valuable review tools.

Approach microbiology by body system or by pathogen

through an extensively cross-referenced "Pathogen Review" section.

Access the complete contents online at studentconsult.com

, along with downloadable illustrations...150 multiple choice review questions... "Pathogen Parade"...and many other features to enhance learning and retention. Enhance your learning and absorb complex information in an interactive, dynamic way with Pathogen Parade  a quickly searchable online glossary of viruses, bacteria, and fungi.

Deepen your understanding of epidemiology and the important role it plays in providing evidence-based identification of key risk factors for disease and targets for preventive medicine.

A completely re-written chapter on this topic keeps abreast of the very latest findings.

Military medical personnel provide outstanding health support to those who serve in harm’s way. As war hasevolved, so has our medical support to those who fight. Today, American service members face a new terrain of mobile urbanconflict.

Despite advances in personal and force protection, our forces remain vulnerable to blast wounds, burns, and multiplepenetrating injuries not usually or routinely encountered in civilian settings. This publication expertly addresses the appropriate medicalmanagement of these and other battle and nonbattle injuries.

This updated resource provides state-of-the-art principles and practices of forward trauma surgery practiced by the US military medical personnel.

This book is a very welcome tool, which will enable health professionals to understand the complexity, challenge and rewards of proactively managing long-term conditions. Putting this knowledge into skilled practice, in partnership with patients, will transform the lives of many individuals and their families, and thus fulfil the fundamental purpose of nursing. —From the Foreword by Professor Rosemary Cook CBE, Director, the Queen’s Nursing Institute and Visiting Professor of Enterprise, University of Northumbria

Long-Term Conditions is a comprehensive, practical guide for nurses and healthcare professionals on the care and management of people with chronic illness. It explores case management, individual care and management, the role of the ‘expert patient’, quality-of-life issues, counselling skills, self-management, and optimum self-care. Long-Term Conditions discusses the three main long-term conditions currently resulting in most hospital admissions: diabetes, respiratory, and coronary heart disease, with a focus on empowering the patient to self-manage.

Key Features:

A comprehensive guide to the care and management of long-term conditions Focuses on the management of the conditions from the patients’ perspective Practical and accessible in style

In the treatment of laryngitis the most important advice to the patient is voice rest, to avoid coughing, clearing one's throat and whispering. Voice rest does not necessitate total avoidance of talking, only significant restriction. Antibiotics are not indicated. It is important to keep the mucosa of the vocal cords moist (inhalation of a humidifying aerosol; steam inhalation). Patients in professions with heavy vocal loading should have a sufficiently long sick leave, at least one week, in acute hoarseness. Voice amplifier reduces vocal loading and is thus an efficient aid in the treatment of voice disorders. Indirect laryngoscopy must always be performed if the hoarseness is not associated with a respiratory infection, and in all patients with hoarseness lasting for more than two weeks. If the vocal cords cannot be fully visualized at indirect laryngoscopy the patient should be referred to a phoniatrician or an ENT specialist. Hoarseness in children is an indication for consultation by a phoniatrician or an ENT specialist (indirect laryngoscopy is difficult to perform).

Social and cultural factors, as well as medical ones, help to shape the way we understand and react to diseases. In the case of a disease associated with sex, social and cultural factors figure especially large in its history. For example, moral and religious views influence almost everything connected with sex, and that includes sexually transmitted diseases. Syphilis thus provides an excellent case study to help understand the history of disease in a broader human context. This book covers the history of syphilis in America, from Colonial times to the present, as well as laying bare the origins and spread of the disease in Europe.

Several themes explored in the book illustrate ways in which non-medical factors influence our views of a disease and our reaction to it. One of these themes is the tendency to focus blame for the spread of a disease on a particular group (e.g., women, blacks, sinners). The balance between protecting the rights of individuals and protecting the public health, in issues such as whether to quarantine the infected and whether to require mandatory testing for the disease, is another theme. A third theme is the persistent reluctance of many Americans to discuss venereal disease openly because it involves sex, a subject that we are often not comfortable talking about.

Critical situations in acute and emergency care are one of the great clinical challenges because of the uncertainty, high stakes, time pressure, and stress that are involved. This book provides a comprehensive outline of all the human factors issues relevant to patient safety during acute care. Following an initial section discussing the basic principles of human behavior and decision making, the various influences on safe patient care are discussed in depth. These are divided into three interacting groups: individual factors, team factors, and organizational factors. Relevant psychological theories are carefully examined, and case studies and descriptions of proven strategies help to ground these theories in daily practice. This newly revised edition, in which each chapter has been enlarged and updated, will help both physicians and non-physicians to better understand the principles of human behavior and decision making in critical situations and thus to provide safer treatment.

Effective drug administration is a crucial skill for any practitioner working in the critical care unit. This book, in providing a concise account of the fundamental principles of pharmacology and pharmacokinetics, equips the critical care physician for such a task. In addition to the principles of pharmacology and pharmacokinetics, this volume alerts the reader to factors that affect drug action such as disease, pregnancy and age, and advises on how to adjust drug dosages accordingly. The specialist therapeutics covered comprise drugs targeting the gastro-intestinal tract, sedation, non-opioid analgesia and opiates. A quick and easy reference, this volume will prove a valuable asset for both trainees and fully qualified practitioners in critical care.

The Essence of Analgesia and Analgesics is an invaluable practical resource for clinicians giving pain relief in any clinical setting, describing the pharmacologic principles and clinical use of all available pain medications. As well as detailed overviews of pain processing and analgesic theory, sections are dedicated to oral and panteral opioid analgesics, neuraxial opioids, NSAIDs, local anesthetics, anticonvulsant type analgesics, NMDA antagonists, alpha adrenergic analgesics, antidepressant analgesics, muscle relaxants, adjuvant medications, and new and emerging analgesics. The concise format of the chapters allows for quick and easy reading and assimilation of information. Enhanced by summary tables and figures, each chapter provides an overview of a particular drug, covering chemical structure, mode of activity, indications, contraindications, common doses and uses, advantages and disadvantages, and drug related adverse events. Key references are also provided. Edited by leading experts in pain management, this is essential reading for any clinician involved in pain management.

Cardiothoracic Surgery covers all areas of adult and paediatric, cardiac and thoracic surgery and intensive care. This new edition, with updated cardiac surgery and thoracic sections, provides on-the-spot guidance to common and less common operative procedures. Every chapter is divided into topics presented across two pages to enable easy reference, with pages on intensive care edged in red for immediate access. Completely updated with current evidence and guidelines, the book is practically oriented to provide reliable guidance in intensive care and in theatre. Fully indexed and lavishly illustrated, the book is a must for anyone seeking a comprehensive yet portable guide to all areas of cardiothoracic surgical practice.

The brand-new final chapter from the revised edition of CURE UNKNOWN, the definitive, award-winning investigation into Lyme disease

Since its original publication in 2008, CURE UNKNOWN has become known as a nuanced, groundbreaking picture of the intense controversy and crippling uncertainty surrounding Lyme disease, and the only book of its kind. Award-winning journalist Pamela Weintraub reveals her personal struggle with Lyme after she and her family became seriously ill with the disease, and sheds light on one of the angriest medical disputes raging today.

In recent years, there have been many crucial updates (political, medical and scientific) to the Lyme story; the intense controversy has continued, new information has come out, and paradigm-shifting decisions made at the highest levels of government. In this brand-new final chapter of CURE UNKNOWN, originally published in the May 2013 revised edition, Pamela offers her unique, riveting take on the disease as it stands today, further exposing the ticking clock of a raging epidemic and offering sufferers new hope.

Of the 620,000 soldiers who perished during the American Civil War, the overwhelming majority died not from gunshot wounds or saber cuts, but from disease. And of the various maladies that plagued both armies, few were more pervasive than malariaa mosquito-borne illness that afflicted over 1.1 million soldiers serving in the Union army alone. Yellow fever, another disease transmitted by mosquitos, struck fear into the hearts of military planners who knew that yellow jack could wipe out an entire army in a matter of weeks. In this ground-breaking medical history, Andrew McIlwaine Bell explore.

Nurses are acknowledged as key agents in addressing alcohol and drug misuse at individual, family, and community levels. Addiction nursing is central to the assessment, management, and care of people with problematic use of psychoactive substances (both legal and illegal). Work takes place in a wide range of settings, from traditional hospital clinics and wards to community locations such as police custody suites and needle exchange facilities.

Addiction for Nurses is a comprehensive textbook for students, explaining the role of the nurse at each stage of intervention. Early chapters approach the subject from sociological, historical, and cultural perspectives, covering significant topics such as the nature of addiction, its social context, and addiction theory. The book then presents vital information about each of the main areas of addiction (nicotine, alcohol, opiates, cannabis, psychostimulants, and hallucinogens) with clinical and practical guidance on recognition, assessment, and treatment intervention strategies. Further chapters consider dealing with emergencies, blood-borne viruses, harm reduction, and work with specific client groups (for instance, black and ethnic minority communities, or those with special needs).

This book is an essential resource for all those who come into contact with alcohol and drug misusers and for specialist addiction nurses preparing for practice in this complex and rewarding field.

Textbook of Critical Care, by Drs. Jean-Louis Vincent, Edward Abraham, Frederick A. Moore, Patrick Kochanek, and Mitchell P. Fink, remains your best source on effective management of critically ill patients. This trusted reference - acclaimed for its success in bridging the gap between medical and surgical critical care - now features an even stronger focus on patient outcomes, equipping you with the proven, evidence-based guidance you need to successfully overcome a full range of practice challenges. Inside, you’ll find totally updated coverage of vital topics, such as coagulation and apoptosis in certain critical care illnesses, such as acute lung injury and adult respiratory distress syndrome; sepsis and other serious infectious diseases; specific organ dysfunction and failure; and many other vital topics. At www.expertconsult.com you can access the complete contents of the book online, rapidly searchable, with regular updates plus new videos that demonstrate how to perform key critical care procedures. The result is an even more indispensable reference for every ICU.Access the complete contents of the book online at www.expertconsult.com, rapidly searchable, and stay current for years to come with regular online updates.

Practice with confidence by consulting with a "who’s who" of global experts on every facet of critical care medicine.

Effectively apply the latest techniques and approaches with totally updated coverage of the importance of coagulation and apoptosis in certain critical care illnesses, such as acute lung injury and adult respiratory distress syndrome; sepsis and other serious infectious diseases; specific organ dysfunction and failure; and many other vital topics.

See how to perform key critical care procedures by watching a wealth of new videos online.

Focus on the practical guidance you need with the aid of a new, more templated format in which basic science content has been integrated within clinical chapters, and all procedural content has been streamlined for online presentation and paired with videos.

Demanding surgical situations require expert advice from pioneers in the field as well as from those on the front lines of trauma care. Practical and evidence-based, Current Therapy of Trauma and Surgical Critical Care, 2nd Edition, draws on the experience of Drs. Juan A. Asensio and Donald D. Trunkey to offer a comprehensive, contemporary summary of the treatment and post-operative management of traumatic injuries. The concise format makes it ideally suited for everyday use, and new, full-color illustrations highlight the most important aspects of urgent surgical care, including ventilator management, damage control, noninvasive techniques, imaging, infection control, dealing with mass casualties, and treating injuries induced by chemical and biological agents. Prepare for the unexpected with practical, concise coverage of major surgical problems in trauma and critical care.Get expert and up-to-date guidance on ventilator management, damage control, noninvasive techniques, imaging, infection control, dealing with mass casualties, treating injuries induced by chemical and biological agents, and much more.Find the information you need quickly and easily through numerous illustrations, key points boxes, algorithms, and tables.Get up to date with current developments in the use of endovascular stents for thoracic aortic injuries; the diagnosis of peripheral vascular injuries; new interventional imaging techniques and new uses for ultrasound; and new ventilator techniques such as HFJV and APRV.

Make the most of new antibiotics

to improve control of surgical infection, learn to use new antifungal agents, and implement innovative therapies to combat both methicillin- and oxacillin-resistant organisms.

Benefit from tremendous recent advances

in the field (often as a result of experience gained by military and civilian surgeons), including the development of damage control.

From the difficult to diagnose to the difficult to treat, Manson’s Tropical Diseases prepares you to effectively handle whatever your patients may have contracted. Featuring an internationally recognized editorial team, global contributors, and expert authors, this revised and updated medical reference book provides you with the latest coverage on parasitic and infectious diseases from around the world. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Incorporate the latest therapies into your practice, such as recently approved drugs and new treatment options.Find what you need easily and apply it quickly with highlighted key information, convenient boxes and tables, extensive cross-referencing, and clinical management diagrams.Make the most accurate Tropical Disease diagnoses through a completely redesigned and modernized format, which includes full-color images throughout.Apply the latest treatment strategies for HIV/AIDS, tropical neurology, malaria, and much more. Put the latest international expertise to work for you and your patients with new chapters covering Global Health; Global Health Governance and Tropical Diseases; Non-communicable Diseases; Obesity in the Tropics; and Emergency and Intensive Care Medicine in Resource-poor Settings.See which diseases are most prevalent in specific areas of the tropics through a new index of diseases by country, as well as online-only maps that provide additional detail.Better understand the variations in treatment approaches across the globe.

Trauma: A Comprehensive Emergency Medicine Approach is a fully illustrated, interdisciplinary overview of trauma. Using both evidence-based approaches and a practical understanding of the emergency department, it gives a broad and in-depth review of trauma care. The entire spectrum of trauma presentations is reviewed from minor soft-tissue injuries through to major life-threatening conditions. Written by over 50 expert contributors, it gives concrete and practical recommendations for evaluation, treatment, consultation and disposition decisions on both common and unusual conditions. Extensive use of photographs, illustrations and key information boxes is used to make the material accessible. Additional sections provide an overview of multiple other issues relating to emergency management of trauma including administrative, nursing, research and legal matters. This book provides an essential reference for anyone who is called upon to provide acute trauma care in the emergency department.

The first book of its kind to focus on the diagnosis, prevention, and treatment of patients with fungal infections, this definitive reference returns in a completely revised, full-color new edition. It presents specific recommendations for understanding, controlling, and preventing fungal infections based upon underlying principles of epidemiology and infection control policy, pathogenesis, immunology, histopathology, and laboratory diagnosis and antifungal therapy. More than 560 photographs, illustrations, and tables depict conditions as they appear in real life and equip you to identify clinical manifestations with accuracy. Expanded therapy content helps you implement the most appropriate treatment quickly.Includes specific recommendations for diagnosing, preventing, and treating fungal infections in various patient populations based upon underlying principles of epidemiology and infection control policy, pathogenesis, immunology, histopathology, and laboratory diagnosis and antifungal therapy. Covers etiologic agents of disease, fungal infections in special hosts such as pediatric patients and patients with cancer and HIV, infections of specific organ systems, and more, to make you aware of the special considerations involved in certain cases. Features clinically useful and reader-friendly practical tools—including algorithms, slides, graphs, pictorials, photographs, and radiographs—that better illustrate and communicate essential points, promote efficient use in a variety of clinical and academic settings, and facilitate slide making for lectures and presentations. Offers more clinically relevant images—more than 300 in full color for the first time—to facilitate diagnosis. Features expanded therapy-related content, including up-to-date treatment strategies and drug selection and dosing guidelines. Includes several new sections in the chapter on fungal infections in cancer patients that reflect the formidable clinical challenges these infections continue to present. Presents the work of additional international contributors who have defined many of the key issues in the field, providing more of a global perspective on the best diagnostic and management approaches. Uses a new, full-color design to enhance readability and ease of access to information.

Recognized as the definitive reference in laboratory medicine since 1908, Henry's Clinical Diagnosis continues to offer state-of-the-art guidance on the scientific foundation and clinical application of today's complete range of laboratory tests. Employing a multidisciplinary approach, it presents the newest information available in the field, including new developments in technologies and the automation platforms on which measurements are performed.Provides guidance on error detection, correction, and prevention, as well as cost-effective test selection. Features a full-color layout, illustrations and visual aids, and an organization based on organ system.Features the latest knowledge on cutting-edge technologies of molecular diagnostics and proteomics.Includes a wealth of information on the exciting subject of omics; these extraordinarily complex measurements reflect important changes in the body and have the potential to predict the onset of diseases such as diabetes mellitus.Coverage of today's hottest topics includes advances in transfusion medicine and organ transplantation; molecular diagnostics in microbiology and infectious diseases; point-of-care testing; pharmacogenomics; and the microbiome.Toxicology and Therapeutic Drug Monitoring chapter discusses the necessity of testing for therapeutic drugs that are more frequently being abused by users.

Transfusion Medicine offers a concise, clinically focused and practical approach to this important area of medicine.

This well-known handbook presents the experience of a world leader in the field of blood banking and transfusion therapy. Transfusion Medicine offers complete guidance on the full range of topics from donor recruitment, blood collection and storage, to testing and transfusing blood components, complications and transmissible diseases, as well as cellular engineering, therapeutic apheresis, and the role of hematopoietic growth factors.

This third edition includes updated information on a number of areas including:

Transfusion Medicine will be valuable to all those working in the field of blood banking and transfusion. It is a good introduction to transfusion for hematology or oncology fellows and technologists specialising in blood banking.

A quick-access practical handbook for the use of ultrasound in critical care and emergency department settings

Point-of-care ultrasound offers a readily available, noninvasive, reproducible modality that can expedite and improve care in the critical care and the emergency setting. This handy guide clarifies basic concepts and provides the hands-on guidance necessary for clinicians to arrive at better therapeutic decisions and perform safer procedures with the use of ultrasound.

Handbook of Critical Care and Emergency Ultrasound opens with important chapters on ultrasound basics, ultrasound orientation, and probe selection, machine controls, and equipment. 22 additional chapters cover organ or system-specific procedural applications and approaches to the trauma patient. You will also find algorithms for the patient with undifferentiated chest pain, dyspnea, hypotension, and abdominal pain. 259 drawings and photographs support the text, illustrating patient positioning, basic views, anatomy, and common pathology.

Handbook of Critical Care and Emergency Ultrasound is the perfect resource for critical care and emergency providers who wish to deepen their knowledge of sonography and broaden their use of ultrasound in the care of their patient.

Maurice Hilleman's mother died a day after he was born and his twin sister stillborn. As an adult, he said that he felt he had escaped an appointment with death. He made it his life's work to see that others could do the same. Born into the life of a Montana chicken farmer, Hilleman ran off to the University of Chicago to become a microbiologist, and eventually joined Merck, the pharmaceutical company, to pursue his goal of eliminating childhood disease. Chief among his accomplishments are nine vaccines that practically every child gets, rendering formerly dread diseases—including often devastating ones such as mumps and rubella—practically toothless and nearly forgotten; his measles vaccine alone saves several million lives every year.

Vaccinated is not a biography; Hilleman's experience forms the basis for a rich and lively narrative of two hundred years of medical history, ranging across the globe and throughout time to take in a cast of hundreds, all caught up, intentionally or otherwise, in the story of vaccines. It is an inspiring and triumphant tale, but one with a cautionary aspect, as vaccines come under assault from people blaming vaccines for autism and worse. Paul Offit clearly and compellingly rebuts those arguments, and, by demonstrating how much the work of Hilleman and others has gained for humanity, shows us how much we have to lose.

This new edition of Woodrow’s Intensive Care Nursing will be warmly welcomed. Especially written for qualified nurses working in intensive care nursing units, this comprehensive text has been developed to be as accessible as possible. Including new chapters on planning for pandemics and transferring patients, it has been revised throughout to ensure the evidence-base is completely up-to-date and the content reflects contemporary best practice.

Intensive Care Nursing is structured in user-friendly sections. Each chapter contains 'fundamental knowledge' needed to understand the chapter, an introduction, 'implications for practice', a chapter summary, completely updated further reading, 'time out' sections for revision and a clinical scenario with questions included. Reviewed throughout by experienced practitioners and teachers, it covers:

patient-focused issues of bedside nursing

the technical knowledge necessary to care safely for ICU patients

the more common and specialized disease processes and treatments encountered

how nurses can use their knowledge and skills to develop their own and others' practice.

Written by a practice development nurse with a strong clinical background in intensive care nursing and experience of teaching nursing, Intensive Care Nursing is essential reading for nurses and health professionals working with high dependency patients, particularly those undertaking further training in the area.

Surgery and pharmaceuticals are not the only effective procedures we have to improve our health. The natural human tendency to care for fellow humans, to support them with social networks, has proven to be a powerful treatment as well. As a result, the areas of application for social support intervention have expanded dramatically during the past 20 years. As these areas have expanded, so too has the literature on the theory and measurement of social support. Yet, the literature has focussed on very particular areas. Investigators in the social sciences have mainly focused on the protection that social support confers in the context of stressful life events and transitions, whereas studies in the health sciences have concentrated on the effects of social networks and supports on population mortality and morbidity. Although no single theoretical framework has been widely accepted, there is consensus that both the psychological sense of support and actual expressions of support play critical roles in maintaining health and well being. This book is a state-of-the-art resource for the selection and development of strategies for social support assessment and intervention. Designed for use by behavioral and medical scientists conducting studies of physical illness, psychological adjustment, and psychiatric illness in human populations, this volume presents a broad conceptual framework addressing the role of social support in mental and physical health. The book is divided into four sections. The first provides some historical context as well as a conceptual overview of how social support might influence mental and physical health. The second discusses techniques for measuring social networks and support, and the third addresses the design of different types of support interventions. The final section presents some general comments on the volume and its implications for social support research and intervention. This resource is meant to aid researchers in understanding the conceptual criteria on which measurement and intervention decisions should be made when studying the relations between social support and health. Furthermore, the information provided on both measurement and intervention will be valuable to practitioners interested in designing and evaluating prevention and treatment initiatives. Sponsored by the Fetzer Institute as a follow up to their successful 1995 publication, Measuring Stress, this book will provide the most up to date research on the effects of social support interventions on physical and mental health.

Completely revised and updated, the new edition of this groundbreaking text integrates basic virology with pathophysiological conditions to examine the connection between virology and human disease. Most virology textbooks focus on the molecular biology involved without adequate reference to physiology. This text focuses on viruses that infect humans, domestic animals and vertebrates and is based on extensive course notes from James Strauss’ virology class at the California Institute of Technology taught for over 30 years. Expertly depicting in color the molecular structure and replication of each virus, it provides an excellent overview for students and professionals interested in viruses as agents of human disease.Includes over 30% new material - virtually all of the figures and tables have been redrawn to include the latest information and the text has been extensively rewritten to include the most up-to-date informationIncludes a new chapter on emerging and reemerging viral diseases such as avian flu, SARS, the spread of West Nile virus across America, and the continuing spread of Nipah virus in Southeast AsiaFurther reading sections at the end of each chapter make it easy find key referencesWorld maps depicting the current distribution of existing and newly emerging viruses are also incorporated into the text